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  1. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
    November 01, 2019 - agents: anti-pseudomonal carbapenems (meropenem, imipenem) ± vancomycin or linezolid1 Severe penicillin allergy … generation oral cephalosporin or amoxicillin-clavulanate (based on susceptibility results) Severe penicillin allergy … Moxifloxacin can be considered for patients with serious penicillin allergies. 19 VAP AHRQ Safety
  2. www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
    January 01, 2024 - patients and their doctor’s office, views of abstracted medical chart information (e.g. medications, allergies … 2, the intervention phase, Arm 1 study practices offered consented patients VBJs with medication, allergy … 2, the intervention phase, Arm 1 study practices offered consented patients VBJs with medication, allergy … satisfaction with their medical care with respect to patient-provider communication, medications, allergies … The rate of preventable and ameliorable adverse drug events (ADEs) and medication and allergy list accuracy
  3. Acute Otitis Media (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-one-pager.pdf
    September 01, 2022 - recurrent AOM unresponsive to amoxicillin • Alternative agents for children with nonsevere penicillin allergies … • Levofloxacin can be considered for children with severe penicillin allergies.
  4. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8a.html
    October 01, 2014 - Ann Allergy Asthma Immunol 2004;92(6):611-8. Butz A, Pham L, Lewis L, et al. … Ann Allergy Asthma Immunol 2003;90(3):308-15. Smith SR, Jaffe DM, Fisher EB, Jr., et al. … Ann Allergy Asthma Immunol 2003;90(4):411-5. Scariati PD, Roberge L, Dye T. … J Allergy Clin Immunol 2002;110(4):576-81. Return to Contents
  5. www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
    January 01, 2024 - Performance Improvement® (PCPI) allow physicians to identify patients with exceptions (e.g., drug allergy … and those with a valid exception (e.g., patient did not receive medication because of a documented allergy … reasons found in the EHRs: o clinical contraindication - 63.0%; o drug intolerance - 19.3%; o drug allergy … reasons found in the EHRs: o clinical contraindication - 85.6%; o drug intolerance – 5.7%; o drug allergy … subcategorizing medical exceptions for these types of measures into clinical contraindication, drug allergy
  6. www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
    June 01, 2021 - Practices in the Diagnosis and Treatment of Bacteremia Approach to Patients Reporting Penicillin Allergies
  7. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
    November 01, 2019 - For patients with severe penicillin allergy, consider the use of aztreonam, ciprofloxacin, or levofloxacin … If a patient has a severe penicillin allergy, consider a respiratory fluoroquinolone such as levofloxacin … Moxifloxacin can be considered for these low-risk patients if they have serious penicillin allergies
  8. www.ahrq.gov/news/newsletters/e-newsletter/925.html
    August 01, 2024 - Health promotion of early and sustained allergenic food introduction for the prevention of food allergy … J Allergy Clin Immunol Pract . 2024 Jul;12(7):1670-83.e9. Epub 2024 May 23.
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
    September 01, 2022 - For patients with severe beta-lactam allergies, a respiratory fluoroquinolone such as moxifloxacin or … If the child has had a severe penicillin allergy, consider a respiratory fluoroquinolone or macrolide … A family history of penicillin allergies alone is not a reason to avoid penicillin therapy. … For patients with beta-lactam allergies, consider a fluoroquinolone as monotherapy.
  10. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/smoking-cessation-flowchart.pdf
    June 02, 2025 - Yes *Exceptions for Tobacco Screening · Patients with adverse effect, allergy or intolerance to tobacco
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
    September 01, 2022 - Penicillin or amoxicillin is first line in children and adults  No reported resistance Mild penicillin allergy … generation cephalosporins such as cephalexin or cefadroxil No reported resistance Severe penicillin allergy
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
    June 01, 2021 - moxifloxacin or levofloxacin 11 Management RTI 11 Narrated Presentation 12 Link to Penicillin Allergy … poster     Bacterial Pneumonia in Long-Term Care one-pager Approach to Patients With Reported Penicillin Allergy
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
    September 01, 2015 - -I Take\lltalsigns -- signsandchlef n open encounter oomprain1(s) '-------' Ae\l\EWand verify allergies … active med list Yes MA does med-rec during rooming and makes or pends updates in EHR Maintain active allergy … list Yes MA has series of questions about allergies and is responsible for this task Record smoking … chronic refills, MA could do the refill based on standing orders from clinician Drug-drug and drug-allergy … to lab results, Yes Creating a secure patient portal is technical issue, but problem and med lists, allergies
  14. www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
    November 01, 2019 - immunocompromised status, history of drug-resistant infections, and presence of a severe penicillin allergy
  15. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
    May 01, 2017 - identification (name and date of birth) |___| Procedure to be performed matches the consent |___| Known allergies
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
    September 01, 2022 - severe arterial insufficiency, but is not associated with warmth or edema Contact dermatitis or other allergicreaction Lesions of contact dermatitis are usually confined to the site of contact with the allergen … cases7 Treatment8-10 Oral first-generation cephalosporin Oral amoxicillin/clavulanate Severe PCN allergy … Infections Human and animal bites5 Amoxicillin/clavulanate (not oral first-generation cephalosporins) PCN allergy
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
    April 01, 2025 - Protocol Overview · Pre-op CHG bathing prior to surgery · Do not apply CHG to patients with known CHG allergy
  18. FECC Surveys (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
    June 01, 2025 - Specialists are doctors like surgeons, heart doctors, allergy doctors, mental health doctors, and other … ☐ ☐ ☐ d) A list of your child’s allergies? … ☐ ☐ d) A list of your child’s allergies? … Specialists are doctors like surgeons, heart doctors, allergy doctors, mental health doctors, and other … Did the written hospital stay summary you got include a list of your child’s allergies?
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - most commonly cited safety concerns were adverse events associated with drug- drug interactions, drug allergies … The physicians also reported safety concerns involving “drug allergies and side effects” (12 mentions … Concerns about drug allergies were mentioned specifically with respect to prescriptions for antibiotics … In urgent cases you may not get the medical chart (and, therefore, not know that the patient has an allergicreaction to certain antibiotics).”
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
    November 01, 2019 - clavulanate or oral second-/third-generation cephalosporins; reserve fluoroquinolones for severe penicillin allergy

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